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Deficiency Records for Jackson Creek Post Acute
View the most recent health deficiencies and inspection results for Jackson Creek Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Jackson Creek Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2026-01-12 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-12-05 | 2026-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2026-01-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-05 | 2026-01-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-12-05 | 2026-01-12 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-12-05 | 2026-01-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-12-05 | 2026-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-05 | 2026-01-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-05 | 2026-01-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-10 | 2025-05-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-10 | 2025-05-29 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-10 | 2025-05-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-10 | 2025-05-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-31 | 2024-12-03 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-31 | 2024-12-03 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-07 | 2024-06-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-07 | 2024-06-15 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-07 | 2024-06-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-07 | 2024-06-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-07 | 2024-06-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-07 | 2024-06-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-07 | 2024-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-07 | 2024-06-15 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-05-07 | 2024-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-07 | 2024-06-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-05-07 | 2024-06-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-07 | 2024-06-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-06-15 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-07 | 2024-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-06-06 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-10 | 2022-12-31 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-09-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-08-10 | 2022-09-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-10 | 2022-09-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-08-10 | 2022-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-09-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-10 | 2022-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-08-10 | 2022-09-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-10 | 2022-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-08-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-22 | Not Fixed | Y |